Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Osu Emergency Medicine LLC (NPI 1699705681)

Osu Emergency Medicine LLC is a emergency medical services (emergency medicine) physician provider located in Columbus, Ohio. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Osu Emergency Medicine LLC
Address	410 W 10th Ave
City	Columbus
State	OH
ZIP	43210
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	137,130	$70	$10M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	85,240	$50	$4.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	22,950	$30	$734.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	33,970	$1	$135.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,940	$30	$134.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,830	$50	$84K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	250	$70	$16.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	320	$50	$14.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	250	$40	$10.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	190	$40	$8K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

Osu Emergency Medicine LLC — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	128	480	4,510	$90	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	30	660	460	$90	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11	580	510	$100	$1.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	191	230	2,200	$100	$530.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,395	4,510	500	$60	$377.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,181	5,080	560	$40	$323.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	514	1,030	180	$90	$127K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	139	260	280	$50	$120.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	822	1,610	220	$50	$98.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	38	450	720	$10	$67K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Jonesco	OH	Sports Medicine (Emergency Medicine) Physician	$158.1K	$0
Ian Alexander	TX	Otolaryngology Physician	$111.9K	$0
Kori Kirkhope	OH	Nurse Practitioner	$43.5K	$0
Clarisse Goas	OH	Adult Health Nurse Practitioner	$25.7K	$0
Eleonora Coyne	OH	Nurse Practitioner	$23K	$0
Leah Welsh	OH	Family Medicine Physician	$19.6K	$0
Daniel Fulks	OH	Acute Care Nurse Practitioner	$16.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio State University Hospitals	OH	General Acute Care Hospital	$0	$197.7M
Arthur G James Cancer Hospital And Research Institute	OH	Special Hospital	$0	$140.7M
Osu Internal Medicine, LLC	OH	Internal Medicine Physician	$0	$28M
Osu Radiology LLC	OH	Diagnostic Radiology Physician	$0	$13.9M
Dental Clinics College Of Dentistry	OH	Dentist	$0	$9.4M
Jonathan Rock	OH	Anatomic Pathology & Clinical Pathology Physician	$498.3K	$0
Amado Del Rosario	OH	Diagnostic Radiology Physician	$490.7K	$0
Albert Clairmont	OH	Physical Medicine & Rehabilitation Physician	$444.1K	$0
David Meier	OH	Interventional Cardiology Physician	$405.3K	$0
Evan Wuthrick	OH	Radiation Oncology Physician	$237.8K	$0

Osu Emergency Medicine LLC — Billing Profile & Reimbursement Data

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Osu Emergency Medicine LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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